摘要
背景:阿尔茨海默病(AD)与年龄相关的中枢神经系统变性和痴呆有关.这种功能的下降与含有斑块和相关的反应性胶质细胞病变的β肽沉积有关。尤其是小胶质细胞的炎症表型,常被认为对AD患者的认知功能不利。除了中枢神经系统的改变外,最近在AD中还观察到外周的免疫改变,这表明外周和大脑之间有一种重要的免疫相关的通讯。目的:我们推测调节外周免疫系统可能改变与AD相关的炎症性胶质细胞病变。抗α4β1整合素受体的治疗抗体已被临床应用于降低各种免疫细胞粘附内皮细胞和迁移到靶组织中的能力,如肠道(克罗恩氏病)或脑(多发性硬化)。我们假设,使用APP/PS1小鼠的阿尔茨海默病模型,通过改变周围器官和大脑的免疫细胞浸润或表型,类似的外周抗体治疗可以减轻胶质细胞病变。方法:未白蚁对照野生型和APP/PS1小鼠尾静脉注射生理盐水、等型对照(IgG2b)或抗体识别α4-整合素抗CD49d,每周1次,连续4周。为了解中枢神经系统和外周免疫功能的变化,以脑和脾脏为观察对象。结果/结论:抗体治疗能减少APP/PS1小鼠的小胶质变、星形胶质变和突触改变,而不改变淀粉样蛋白-β斑块负荷。有趣的是,同类型控制和抗体治疗也减少了脾脏中促炎细胞因子的数量,尽管大脑中的变化不那么强劲。抗CD49d和同类型对照治疗也降低了大脑中的CD4免疫反应,提示了减轻脑内炎症的可能机制。这一数据表明,使用一种临床上可行的策略来改变AD大脑的免疫成分确实是可行的,这种策略可以传递特定的IgG亚型或针对外周免疫系统浸润的抗原表位选择性抗体。
关键词: 阿尔茨海默病,APP/PS1,神经炎症,Tysabri,外周免疫系统,克罗恩病。
Current Alzheimer Research
Title:Anti-α4β1 Integrin Antibodies Attenuated Brain Inflammatory Changes in a Mouse Model of Alzheimer’s Disease
Volume: 15 Issue: 12
关键词: 阿尔茨海默病,APP/PS1,神经炎症,Tysabri,外周免疫系统,克罗恩病。
摘要: Background: Alzheimer’s disease (AD) is associated with age-associated central nervous system degeneration and dementia. This decline in the function correlates with deposition of Aβ peptide containing plaques and associated reactive gliosis. The inflammatory phenotype of microglia, in particular, is often considered detrimental to cognitive function in AD. In addition to the changes in the CNS, altered immune changes in the periphery have recently been observed in AD suggesting a critical immune- related communication between the periphery and the brain.
Objective: We hypothesized that modulating the peripheral immune system may alter the proinflammatory gliosis associated with AD. Therapeutic antibodies against the α4β1 integrin receptor have been used clinically to attenuate the ability of various immune cells to adhere to endothelium and migrate into target tissues such as the intestines (Crohn’s disease) or brain (multiple sclerosis). We hypothesized that a similar peripheral antibody-based therapy would attenuate gliosis by altering immune cell infiltration or phenotype in peripheral organs and the brain using an APP/PS1 mouse model of Alzheimer’s disease.
Method: Littermate control wild-type and APP/PS1 mice were tail vein injected with either saline, isotype control (IgG2b), or an antibody recognizing α4-integrin, anti-CD49d, once a week for 4 consecutive weeks. To understand CNS and peripheral immune changes, brains and spleen were used.
Results/Conclusion: Our data suggests that the antibody therapy was able to reduce microgliosis, astrogliosis, and synaptic changes in the APP/PS1 mice compared to isotype control injections without changing amyloid-β plaque load. Interestingly, both isotype control and antibody therapy also reduced the number of proinflammatory cytokines in the spleen although changes in the brain were less robust. The anti-CD49d and isotype control treatments also reduced CD4 immunoreactivity in the brains, suggesting a possible mechanism for attenuation of inflammation in the brain. This data suggests that it is indeed feasible to alter the immune component of AD brain changes using a clinically feasible strategy of delivering a particular subtype of IgG or epitope selective antibodies that target infiltration of the peripheral immune system.
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Cite this article as:
Anti-α4β1 Integrin Antibodies Attenuated Brain Inflammatory Changes in a Mouse Model of Alzheimer’s Disease, Current Alzheimer Research 2018; 15 (12) . https://dx.doi.org/10.2174/1567205015666180801111033
DOI https://dx.doi.org/10.2174/1567205015666180801111033 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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